Elidia Carrera, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.017510 Issued in IL

Practice address

602 Center Pkwy
Yorkville, IL 60560-1499

Phone

(630) 553-4382

NPI assigned

Sep 10, 2012

Last updated

Apr 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1831449594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 CENTER PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601499",
            "telephone_number": "630-553-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CENTER PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601499",
            "telephone_number": "630-553-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "ELIDIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017510",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deven Milin Butusov, LCSW
• Dawn Elisabeth Byrne, MSW
• Daniel P Carey, DVM
• Scott Carlson, PT, DPT
• Jori Retterer Carnithan, FNP, MSN
• Ryan Patrick Carrie
• Natalie Carrillo
• Brett James Cassidy, MD
• Kelli M Catalano, RBT
• Lidia Catuncan

• Physical Therapist in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.